Organization
COMMUNITY INTERVENTION HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELEKE IBIRONKE (CEO / OWNER)
(443) 929-3667
Entity
Organization
Contact information
Practice address
302 REISTERSTOWN RD, PIKESVILLE, MD 21208-5312
(410) 929-3667
Mailing address
302 REISTERSTOWN RD, PIKESVILLE, MD 21208-5312
(443) 929-3667
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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